Date: 05 January 1944
Cert: 09965
Place of Death: County: Knott City or
Town: Ivis, Ky. Rural
Name of Hospital or Institution: (blank)
Length of stay in hospital or community: (blank)
Usual Residence of Deceased: State: Kentucky
County: Knott
City or Town: Ivis, Ky. Rural
Full Name: Sally Ann HUGHES
If Veteran Name War: (blank)
Social Security No.: (blank)
Sex, Color or Race, Marital Status: Female, White,
Married
Husband or Wife of: Joe HUGHES
Age of husband or wife if alive: 71 years
Birth date of deceased: 10 March 1875
Age: 68 years, 09 months, 25 days
Birthplace: Hollybush, Knott Co., Ky.
Occupation: Housewife
Industry or business: Housekeeping
Father Name: James SLONE
Father Birthplace: Knott Co., Ky.
Mother Maiden Name: Frankie SLONE
Mother Birthplace: Knott Co., Ky.
Informant: Una PIGMAN, Ivis, Ky.
Burial Place: Mallie, Ky.
Date: 09 January 1944
Signature of funeral director: Friends of Family, Ivis,
Ky.
Date received by local registrar: 05 April 1944
Registrar's Signature: Ida Livingston
Date of Death: 05 January 1944
I hereby certify that I attended deceased from (blank) to
01 January 1944, that I last saw h-- alive on 04 January 1944,
and that death occurred on the date stated above at 8 p.m.
Immediate cause of death: Tuberculosis of the lungs
Duration: (blank)
Due to: (blank)
Major findings of operations: (blank)
Accident, suicide, or homicide: (blank)
Date of occurrence: (blank)
Where did injury occur: (blank)
While at work: (blank)
Means of injury: (blank)
Signature & Address: M. F. Kelley, M.D., Hindman,
Ky.
Date signed: 24 March 1944
Transcribed by Debbie Tamborski, 13 November 2010 |